Individual
MS. SUSAN MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1609 N ANKENY BLVD STE 210, ANKENY, IA 50023-4159
(515) 255-8399
Mailing address
1609 NORTH ANKENY BLVD, SUITE 210, ANKENY, IA 50023
(515) 255-8399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04821
IA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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